患者，女性,18岁，既往健康，生气后突感呼吸困难并恐惧，哭泣，四肢麻木，头晕，发病30miri动脉血气分析:Pa0212.8kPa(96mmHg),PaC022.6kPa(20mmHg)，pH7.62,可能性最大的病因是

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